{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T22:44:56Z","timestamp":1757544296276},"reference-count":13,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Occup Environ Med"],"published-print":{"date-parts":[[1995,3]]},"abstract":"<jats:p>Many cases of work related compression neuropathy of the ulnar and median nerves at the wrist have been described. This report presents a case of bilateral distal neuropathy of the median and ulnar nerves in a parquet floorer, who laid wooden block flooring by hand and used the palms and volar surface of both hands to hit the blocks into place. He also used an electric sander and polisher. Bilateral numbness and paraesthesias in all fingers had been present for about one year. Clinical examination was normal; the neurological assessment indicated slight impairment in response to tactile, heat, and pain stimuli in all 10 fingers. Electroneurography showed increased distal motor latencies of median and ulnar nerves at both wrists, although the lower limbs were normal. The results of blood, urine, and instrumental tests excluded systemic disease or local factors that could cause compression neuropathy. After stopping work for three months, the clinical picture and electroneurographic results improved. These data support the hypothesis that the damage to the median and ulnar nerves had been caused by the patient's way of working, which provoked repeated bilateral microtrauma to his wrists. To diagnose work related multiple neuropathy can be difficult and an accurate work history is necessary. Preventive measures and diligent health care are required for this category of worker.<\/jats:p>","DOI":"10.1136\/oem.52.3.211","type":"journal-article","created":{"date-parts":[[2008,12,17]],"date-time":"2008-12-17T00:14:48Z","timestamp":1229472888000},"page":"211-213","source":"Crossref","is-referenced-by-count":3,"title":["Bilateral median and ulnar neuropathy at the wrist in a parquet floorer."],"prefix":"10.1136","volume":"52","author":[{"given":"M","family":"dell'Omo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Muzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T A","family":"Cantisani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Ercolani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M P","family":"Accattoli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Abbritti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1995,3,1]]},"reference":[{"key":"ref_1","first-page":"961","article-title":"Compression and entrapment neuropathies","author":"Stewart, J.D.","year":"1993","unstructured":"Stewart JD. Compression and entrapment neuropathies. In: Dick PJ, Thomas PK, eds. Peripheral neuropathy. Philadelphia: W B Saunders, 1993:961-79."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"317","DOI":"10.7326\/0003-4819-112-5-317","article-title":"Preventing the work-related carpal tunnel syndrome: physician reporting and diagnostic criteria","volume":"112","author":"Baker, E.L.; Ehrenberg, R.L.","year":"1990","unstructured":"Baker EL, Ehrenberg RL. Preventing the work-related carpal tunnel syndrome: physician reporting and diagnostic criteria. Ann Intern Med 1990;112:317-9.","journal-title":"Ann Intern Med"},{"issue":"51","key":"ref_3","first-page":"1095","article-title":"Ulnar nerve compression syndromes at and below the wrist","volume":"1969","author":"Shea, J.D.; McClain, E.J.","unstructured":"Shea JD, McClain EJ. Ulnar nerve compression syndromes at and below the wrist. J Bone Joint Surg Am 1969;51: 1095-103.","journal-title":"J Bone Joint Surg Am"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/0140-6736(90)90218-T","article-title":"Efficacy of provocative tests for diagnosis of carpal tunnel syndrome","volume":"335","author":"MCTFM, De Krom; ADM, Kester; PG, Knipschild; F, Spaans","year":"1990","unstructured":"De Krom MCTFM, Kester ADM, Knipschild PG, Spaans F. Efficacy of provocative tests for diagnosis of carpal tunnel syndrome. Lancet 1990;335:393-5.","journal-title":"Lancet"},{"key":"ref_5","first-page":"143","article-title":"High-field MR surface-coil imaging of the hand and wrist","volume":"160","author":"Weiss, K.L.; Beltran, J.; Shamam, O.M.; Stilla, R.F.; Levey, M.","year":"1986","unstructured":"Weiss KL, Beltran J, Shamam OM, Stilla RF, Levey M. High-field MR surface-coil imaging of the hand and wrist. Part I. Normal anatomy. Radiology 1986;160: 143-6.","journal-title":"Part I. Normal anatomy. Radiology"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1002\/ajim.4700040508","article-title":"Peripheral nerve entrapment syndromes and ergonomic factors","volume":"4","author":"Feldman, R.G.; Goldman, R.; Keyserling, W.M.","year":"1983","unstructured":"Feldman RG, Goldman R, Keyserling WM. Peripheral nerve entrapment syndromes and ergonomic factors. Am Y Ind Med 1983;4:661-81.","journal-title":"Am Y Ind Med"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"337","DOI":"10.5271\/sjweh.1564","article-title":"Impact of occupations and job tasks on the prevalence of carpal tunnel syndrome","volume":"18","author":"Hagberg, M.; Morgenstern, H.; Kelsh, M.","year":"1992","unstructured":"Hagberg M, Morgenstern H, Kelsh M. Impact of occupations and job tasks on the prevalence of carpal tunnel syndrome. Scand J Work Environ Health 1992;18: 337-45.","journal-title":"Scand J Work Environ Health"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1016\/0140-6736(91)90730-D","article-title":"\"Mouse-trap\" or personal computer palsy","volume":"338","author":"Davie, C.; Katifi, H.; Ridley, A.; Swash, M.","year":"1991","unstructured":"Davie C, Katifi H, Ridley A, Swash M. \"Mouse-trap\" or personal computer palsy. Lancet 1991;338:832.","journal-title":"Lancet"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1136\/jnnp.37.3.340","article-title":"Electrophysiological findings in entrapment of the median nerve at wrist and elbow","volume":"37","author":"Buchthal, F.; Rosenfalk, A.; Trojaborg, W.","year":"1974","unstructured":"Buchthal F, Rosenfalk A, Trojaborg W. Electrophysiological findings in entrapment of the median nerve at wrist and elbow. J Neurol Neurosurg Psychiatry 1974; 37:340-60.","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"ref_10","first-page":"291","article-title":"Left-sided carpal tunnel syndrome in butchers. Scand3 Work Environ","volume":"9","author":"Falck, B.; Aarnio, P.","year":"1983","unstructured":"Falck B, Aarnio P. Left-sided carpal tunnel syndrome in butchers. Scand3 Work Environ Health 1983;9:291-7.","journal-title":"Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"380","DOI":"10.2106\/00004623-198163030-00009","article-title":"The carpal tunnel syndrome. A study of carpal canal pressures","volume":"63","author":"Gelberman, R.H.; Hergenroeder, P.T.; Hargens, A.R.; Lundborg, G.N.; Akeson, W.H.","year":"1981","unstructured":"Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH. The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint SurgAm 1981;63:380-3.","journal-title":"J Bone Joint SurgAm"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"326","DOI":"10.5271\/sjweh.2033","article-title":"Intraneural edema following exposure to vibration","volume":"13","author":"Lundborg, G.; Dahlin, L.B.; Danielsen, N.; Hansson, H.A.; Necking, L.E.; Pyykko, I.","year":"1987","unstructured":"Lundborg G, Dahlin LB, Danielsen N, Hansson HA, Necking LE, Pyykko I. Intraneural edema following exposure to vibration. Scand J Work Environ Health 1987;13:326-9.","journal-title":"Scand J Work Environ Health"},{"key":"ref_13","first-page":"92","article-title":"Shoe-makers' polyneuropathy in Italy: the aetiological problem","volume":"33","author":"Abbritti, G.; Siracusa, A.; Cianchetti, C.; Coli, C.A.; Curradi, F.; Perticoni, G.F.; De Rosa, F.","year":"1976","unstructured":"Abbritti G, Siracusa A, Cianchetti C, Coli CA, Curradi F, Perticoni GF, De Rosa F. Shoe-makers' polyneuropathy in Italy: the aetiological problem. Br J Ind Med 1976; 33:92-9.","journal-title":"Br J Ind Med"}],"container-title":["Occupational and Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/oem.52.3.211","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T13:55:05Z","timestamp":1716472505000},"score":1,"resource":{"primary":{"URL":"https:\/\/oem.bmj.com\/lookup\/doi\/10.1136\/oem.52.3.211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,3]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[1995,3,1]]},"published-print":{"date-parts":[[1995,3]]}},"alternative-id":["10.1136\/oem.52.3.211"],"URL":"https:\/\/doi.org\/10.1136\/oem.52.3.211","relation":{},"ISSN":["1351-0711","1470-7926"],"issn-type":[{"value":"1351-0711","type":"print"},{"value":"1470-7926","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,3]]}}}